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Home Safety and Virtual Technology for Adolescents With Acquired Brain Injury.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Home Safety and Virtual Technology for Adolescents With Acquired Brain Injury./
Author:	Anderson, Sarah Elizabeth.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	637 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-04, Section: B.
Contained By:	Dissertations Abstracts International85-04B.
Subject:	Technology education. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30788291
ISBN:	9798380595155

Home Safety and Virtual Technology for Adolescents With Acquired Brain Injury.
Anderson, Sarah Elizabeth.

Home Safety and Virtual Technology for Adolescents With Acquired Brain Injury. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 637 p.

Source: Dissertations Abstracts International, Volume: 85-04, Section: B.

Thesis (Ph.D.)--The Ohio State University, 2023.

Acquired brain injury is a leading cause of death and disability among children and adolescents. Adolescents with ABI experience a variety of impairments across all domains of function in the acute and chronic stages of recovery and are at an increased risk for additional injury. Due to increased physical and cognitive challenges, these adolescents are at greater risk of injury exposure within their home environments. While the home environment is a location of concern for adolescents with ABI after injury and hospital discharge, little research exists focusing on home safety to mitigate injury risk for this population. It is unclear what knowledge and expectations adolescents with ABI and their caregivers have of home safety hazards and concerns prior to hospital discharge. Additionally, it is unclear to what degree and how healthcare providers address home safety for these families prior to hospital discharge. Despite a focus on discharge preparation and home safety among other populations, there is limited research focus on the resources and safety of adolescents with ABI upon re-integration into the home and community. There is an urgent need to understand the home safety concerns of various primary stakeholders for adolescents with ABI.Interactive games and virtual technologies, such as virtual reality (VR) are great tools for intervention and education with adolescents. VR programs are demonstrating emerging evidence for learning due to their properties of customizability, realism, engagement, standardization, repeatability, outcome measurement, and safe simulation. Some of these VR programs have been developed for the training of home safety among providers, caregivers, and children. However, little is known about the usefulness, usability, and desirability of these technology for addressing home safety concerns for adolescents with ABI.The primary purpose of this research was twofold: 1) to identify the home safety concerns of providers, caregivers, and adolescents for themselves/adolescents with ABI, and 2) to understand what modifications and design considerations are needed to improve the use of VR technologies for home safety intervention among adolescents with ABI.Chapter 2 describes of a mixed-methods participatory approach, conducting interviews and surveys among thirteen healthcare providers to identify their home safety concerns for adolescents with ABI. Overall, providers described a wide variety of concerns for adolescents with ABI in the home setting that spanned several hazard and harm domains, as well as traversed a matrix of urgency. Providers were primarily concerned about hazards related to activities the adolescents engaged in (e.g., cooking, functional mobility, risky behavior), situations of limited supervision, and adolescent cognitive impairments (e.g., decreased insight, poor balance, increased impulsivity).Chapter 3 discusses a mixed-methods participatory approach, conducting interviews and surveys among five adolescents with ABI and five caregivers to identify their home safety concerns for themselves/adolescents with ABI. Overall, families identified hazards across a variety of activities (e.g., functional mobility, cooking, sports), objects (e.g., stove/oven), situations (e.g., limited home accessibility), and adolescent factors (e.g., impulsivity, poor balance, poor insight). However, adolescents and caregivers did not validate as many pre-identified hazards and concerns as the clinician participants did, and few of them identified hazards as urgent concerns.Chapter 4 described the usability, usefulness, and desirability (UUD) of the previously developed Home Healthcare Virtual Simulation Training System (HH-VSTS) as a home safety training tool for adolescents with ABI, and the critical enhancements needed to improve it for this population. Overall, all three stakeholder groups believed the VSTS was usable, useful, and desirable. Participants also recommended many modifications, ranging from improvements to accessibility, enjoyment, learning, and relevancy. This rich feedback allowed for the identification and exploration of several specific enhancements to improve UUD throughout the program.This research has provided a thorough examination of home safety for adolescents with ABI, and the usability of virtual technology to meet educational needs. It is clear that families and providers are concerned about home safety for this population, but may not have the tools necessary to support them. Future directions for this work include the development of paper supports and digital learning tools (i.e., the re-design of the HHVSTS) to improve care delivery for adolescents with ABI, in an effort to improve home safety and injury prevention outcomes for this population.

ISBN: 9798380595155Subjects--Topical Terms:

3423978
Technology education.
Subjects--Index Terms:

Pediatric

Home Safety and Virtual Technology for Adolescents With Acquired Brain Injury.
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